PAULA BANSER OSTERHOUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058102

License Status

CANCELLED

Business

Title

First Name

PAULA

Middle

BANSER

Last Name

OSTERHOUT

Business Name

PAULA BANSER OSTERHOUT MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

HINSDALE

State

Zip

60521

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/06/2010